HomeMy WebLinkAboutBuilding Permit 14. 1385,14.1331, 15.0130 0
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D� PR IC),P
CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE /Z 2 Z,� �'
�' AND UTILITY CONNECTION PERMIT
e�
'err �
`\'NESO
t.White File PERMIT NO. //��
2. Pell City /3 1J
3.Yellow Applicant l vvV
(Please type or print and sign at bottom)
ADDRESS ZONING(office use)
j � zs j N c w e A �1w �c,e,c \,._0 ,M�� �'`l -
LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITION PID
OWNER _ s Q � n
(Name)3®h\St;• \ ��t\ovxc� ?D\ -a- 'k �od. vS the(Phone) SD-) -3lc,io - 1 a8
(Address) \\,t-,ca C _sx-v b,0N.,.Q -o c•:Arca;,,,0 A. (\ANJ S5U 9,)
BUILDER
(Company Name) "rtvt s1/41, ,...l c,v-t 2 1-S,,,',\a t,s k cLitan,.a LK-L c(Phone) "SlY1'3l0%-n-\a?
(Contact Name) M c.L 0 \0.v`a (Phone) to l a 3-03 -951.e.�
(Address) 's�w,c iA5 {a93oUt=
TYPE OF WORK ❑New Cons cion ODeck ['Porch ❑Re-Roofing ❑Re-Siding ['Lower Level Finish ❑Fireplace
❑Addition Iteration ❑Utility Connection Q,ato..ce cs kt kA.,,,k e t w5. 9.0.r^e,w t d ca c.`., -")"r c t•^"-S ker-
rzssoc.h V, *VCS
CODE: R.C. ❑I.B.C. 0 Misc:
Type of Construction: I II III IV V A B / �- /
Occupancy Group: A B E F H I M R S U PROJECT COST/VALUE $ 1 J er:® .QV
Division: 1 2 3 4 5 (excluding land)
I hereby certify that I have furnished information on this application which is to the best of my knowledge true and correct. I also certify that I am the owner or authorized agent for the
above-mentioned property and that all construction will conform to all-.. "ng state and local laws and will proceed in accordance with submitted plans. I am aware that the building
official can revoke this permit for just cause. Furthermo-,I.. - agree th. he city official or a designee may enter upon the property to perform needed inspections.
ignature Contractor's License No. D to
Permit Valuation Park Support Fee # $
Permit Fee $ - 75- SAC # $
Plan Check Fee $ Water Meter Size 5/8"; 1"; $
State Surcharge $ • c`fi) Pressure Reducer $
Penalty $ Sewer/Water Connection Fee # $
Plumbing Permit Fee $ _5 4L- Water Tower Fee # $
Mechanical Permit Fee $ 5-0 Builder's Deposit $
Sewer&Water Permit Fee $ Other $
Gas Fireplace Permit Fee $ TOTAL DUE 1 $ j4 Liz3--
This
--This Application Becomes Your Building Permit When Approved Paid IV(14".... ,S Re ipt No. L l
Date /Z , `ZZ, f '( B
Building Official Date
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. This document
when signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy,a Certificate of Occupancy must be
issued.
Planning Director Date Special Conditions,if any
24 hour notice for all inspections(952)447-9850,fax(952)447-4245
4646 Dakota Street S.E.,Prior Lake,Minnesota 55372
o. PRIo4, CITY OF LAKE BUILDING PERMIT, Date Rec'd
/ 1 TEMPORARY CERTIFICATEPRIOR OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
A'NES°
I.White File
2. Pink City PERMIT NO. /4- /33/
3.Yellow Applicant
(Please type or print and sign at bottom)
ADDRESS ZONING(office use)
\Lc75 \ °(-"S''‘'`'•'- '° a ‘1 \) ` '�.-o< ��.w> \M S53"1a
LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITION PID
OWNER
(Name) \J\,ce.o '\\.e v. (Phone)
(Address) c9l a,O V.`-)„ ,.\4, L v\rti, \v\ °---.,,..,,o, (_,.s -e a_,) ISI VJ
BUILDER
(Company Name) Johnson Reiland Builders (Phone) -! \1-3\Di:,-15S<z�
(Contact Name) M U\ Q a,‘, .,‘, ..,A, �\ & Remode[ers, Inc (Phone (L'i) v ( . 6 4
11300 Canby Ave
(Address) Faribault, MN 55021
TYPE OF WORK 0 New Construction ['Deck ['Porch ['Re-Roofing ❑Re-Siding ['Lower Level Finish 0 Fireplace
❑Addition ['Alteration ['Utility Connection _ ti qao.-V‘\,.0\" _ h,.h�\S 4C-0"'ti'--.s PS
CODE: I.R.C. ❑I.B.C. Misc: ce c..c S.aew2o w�.s v �kev.) - --.
�� �� w:�� �tiYu\c.�ic�0\S c� �a � .
Type o Construction: I II III IV V A B .;. i v.e\R. :::;\,;:;-
Occupancy Group: A B E F H I M R S U PROJECT COST/VALUE $ 41 5 lc, ��
Division: 1 2 3 4 5 (excluding land)
I hereby certify that I have furnished information on this application w 'h is to the best of my knowledge true and correct. I also certify that I am the owner or authorized agent for the
above-mentioned property and that all construction will conform t. .f existing state and local laws and will proceed in accordance with submitted plans. I am aware that the building
official can revoke t permit for,, t cause. F •,ermor I her. .:ee that the city official or a designee may enter upon the property to perform needed inspections.
.ignature Contractor's License No. Dat
4 `”
Permit Valuation 06 0 ., (J 6 Park Support Fee # $
Permit Fee $!�I SAC # $
Plan Check Fee $ Water Meter Size 5/8"; 1"; $
State Surcharge $ Pressure Reducer $
Penalty $ Sewer/Water Connection Fee # $
Plumbing Permit Fee $ Water Tower Fee # $
Mechanical Permit Fee $ Builder's Deposit $
Sewer&Water Permit Fee $ Other $
Gas Fireplace Permit Fee $ TOTAL DUEt.t,a2 /Z ,,j $ i 2,1_, J
6 J
This Application Becomes Your Building Permit When Approved Paid j/Z _,C,-0( R eipt No. 3
Date j 2__.,%c a B}'�
Building Official Date k..
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. This document
when signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy,a Certificate of Occupancy must be
issued.
Planning Director Date Special Conditions,if any
24 hour notice for all inspections(952)447-9850,fax(952)447-4245
4646 Dakota Street S.E.,Prior Lake,Minnesota 55372
ieli-vRI°1? CITY 0 ' 7 $ 6 LAKE Date Rec'd
e AHEATING/AIR C 0 i / ' I 4 NING IREPLACE PERMIT l
-.
A Ayl '3,0
1.Pink File PERMIT NO.
44,NNEsol..,- 2.Green City /51 /2'C)
Af( 3.Yellow Applicant
(Please type or print and sign at bottom)
ADDRESS ZONING(office use)
\, pt)St 5 t4t)`(1 ("\vv itYbicl C &
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION PID
OWNER \ „,
(Name) ,... .NrsArsgti-C\,- (2-9-\A\e-k-r\„1 ‘" Orr\Q-S. (Phone)
(Address) ki3I5N) Q.A4,,,.,,z) . ;vr..... cetnoet,,,,. -- mv,,) Sc-ba-1
APPLICANT , A
(Name) Ge\b‘Mrse \Aearre.,4, k-\-v--,y-ssjL____(Phone) 9S ' (17-)- 1 ..1‘dtz)
(Address) \tyo EN,. ., ''. -
.. . eA„.k), W ,..,„\b( ee.A..". 'Pc\1,...1 55
(Contact Person) ee.,,, (Phone) et S? Lt n— /iy-v.
APPLICANT SIGNATURE DATE
APPLICANT PLEASE PLEASE COMPLETE BELOW
/
kir '4EW CONSTRUCTION C3 REPLACEMENT {:ALTERATIONS
FURNAC MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT ,
TYPE OF SYSTEM HEATING OR POWER PLANT PLEASE NOTE:Air Conditioner
0 Warm Air Plants 0 Steam Units and Fireplaces Cannot Encroach
0 Gravity 0 Hot Water into Required Side Yard Setbacks.
E Mechanical 0 Radiation Fireplaces with Box Additions or
Ei Air Conditioning 0 Special Devices Cantilevers to the Outside of Buildings
0 Vent. System eOther Devices Require a Building Permit.
FIREPLACE MAKE AND MODEL Go - 71/1111tiok 9
FEE SCHEDULE
Industrial, Commercial &Multi Family 1%of job cost Residential,Gas Fireplace $49.50
$49.50 minimum
Residential, Heating&A/C(New Construction) $149.50 Residential,Additions&Alterations $49.50
Rpgiripntial 14eatipa nilly 0\1-e,w Cringl
ti et' ) $64.50 Residential,AC Only $49.50
The Minnesota statutes 3Z6B.148 11 Cost$ Building Permit#
"SURCHARGE"has been extended
The minimum surcharge for a -MATING PERMIT FEE $
;TATE SURCHARGE $ 5.00
"fixed fee"permit is ' '
fOTAL PERMIT FEE $
This Application Becomes Your Building Permit When Approved Paid 54,50 Receipt No, U4-5-
Building Official Date Date L . 10 . 16 By
24 hour notice for all inspections (952)447-9850
4646 Dakota Street S.E.,Prior Lake,Minnesota 55372
)cellQin@ ci`I 0- C)6��a R911(14 pRip� Date Rec'd
A wit:DA CITY OF PRIOR LAKE PLUMBING PERMIT -. Z.4 0'5
•
'-G'"` PERMIT NO.
2.Gold14, 13%$
3.Yeamr Appiiant •
(Please type or print and sign at bottom)
ADDRESS ZONING cotta use)
1 cvOS5 NONvpu L0-oOd
LEGAL DESCRIPTION(office use only) •
LOT BLOCK ADDITION PID
(ONaWNER
3A \SJYl F ..0,z v (/1(( (Phone) %7 3l�'�Q"r Un
(Address) /lOW Q� ['Ai i(1 e (' )1 ft\ 15%9 I
APPLICANT � (0,tdi / V11cone7 / 5[' /J(Name) 1 ,-
S509)Di Q, &)KAdJJ
ress)
(City) (Zip Code)
(Contact Person) _ A .a / (Phone) C ��L(�W7/
APPLICANT SIGNATURE �s i lama mow,• DATE
APPLICANT PLEASE COMPLETE BELOW
Quantity Type of Fixture _ Quantity Type of Fixture
Bath Tub with or without shower Rough-ins
Dishwasher Water Heater
-
Floor Drain Water Softener
Lavatory(Bathroom Sink) Stand Pipe(Washing Machine)
Laundry Tray(I or 2 compartment sink Sewage Ejector
i Shower Stall Backflow Assembly
Sinks Backflow Assembly Test
Bar Sink Lawn Sprinkler
Water Closet(Toilet) Other
FEE The Minnesota Statutes§326B.1'48 ' joli cost with$49.50 minimum Residential,New One&Two-Family $149.50
"SURCHARGE"has been extendaed Residential,Additions&Alterations $49.50
• The min surcharge fol.
"fixed fee $ Building Permit II
"permit is$5.00
PLUMBING PERMIT FEE $
STATE SURCHARGE $ XM 5.00
TOTAL PERMIT FEE $
(Office Use Only)
•
This Application Becomes Your Building Permit When Approved Paid % N0.
Date PA/Pi� iatfoil
Building Official Date t ��,,,_
-7
-
24 hour notice for all inspections(952)447-9850,fax(952)447-4245
4646 Dakota Street S.E.,Prior Lake,Minnesota 55372
O,c,PRIpCITY OF PRIOR LAKE Date Rec'd
HEATING/AIR CONDITIONING/FIREPLACE PERMIT�
1.Pink File PERMIT NO.
41rNNEsol-P 2.Green City 17k. L3 eg'
3.Yellow Applicant /l
(Please type or print and sign at bottom)
ADDRESS pvcZ ZONING(office use)
oas. isAkk. )40 e(5D
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION PID
OWNER `
(Name) ' r'5a AR(5 -1 r.'r✓w , (Phone) 501-- 366 "
(Address) 113c30 y /-w�•
APPLICANT nn
(Name) a tZ61,\ �-e�, • ^_ (Phone) 6a-508- t .6
(Address) 2r1,/ ter ' sa J►.-'• 3 2 'j
(Contact Person) rr S (Phone) c�— e--9A
�/f' DATE iia
APPLICANT SIGNATURE �,
APPLICANT PLEASE COMPLETE BELOW
['NEW CONSTRUCTION ❑REPLACEMENT rfALTERATIONS,
FURNACE MAKE AND MODEL — &la* �v r tiv.-�c //-Vasrs�`�•B� L ///a. - •
FLUE SIZE 1-4211,1$4,4RETURN OPENINGS INPUT,/ ,WGO OUTPUT58 ) 3 deO
TYPE OF SYSTEM HEATING OR POWER PLANT PLEASE NOTE:Air Conditioner
Warm Air Plants 0 Steam Units and Fireplaces Cannot Encroach
❑Gravity 0 Hot Water into Required Side Yard Setbacks.
❑Mechanical ❑Radiation Fireplaces with Box Additions or
ji3Air Conditioning 0 Special Devices Cantilevers to the Outside of Buildings
❑Vent. System 0 Other Devices Require a Building Permit.
FIREPLACE MAKE AND MODEL
FEE SCHEDULE
Industrial,Commercial&Multi Family 1%of job cost Residential,Gas Fireplace $49.50
$49.50 minimum
Residential,Heating&A/C(New Construction) $149.50 Residential,Additions&Alterations $49.50
Residential,Heating Only(New Construction) $64.50 Residential,AC Only $49.50
Cost$ Building Permit#
HEATING PERMIT FEE $
STATE SURCHARGE $ 5.00
TOTAL PERMIT FEE $
.)"")
1
This Application Becomes Your Building Permit When Approved Paid A=M Re ipt No. PUll
-
IA
Date By
Building Official Date (MI
24 hour notice for all inspections(952)447-9850 •
4646 Dakota Street S.E.,Prior Lake,Minnesota 55372
•
PRIOR LAKE* DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTION RECORD
SITE ADDRESS /(p U,95 ,4/d/ -7Wo 00 /?,6
NATURE OF WORK (rtf f N o d vV S / o��---
USE OF BUILDING , ,9/
PERMIT NO. jL- i39 DATE ISSUED !z. 7-7- ( q
CONTRACTOR J b I.coi g..67 44/Jz PHONE 5b
INSTALL EROSION CONRTOL AND MAINTAIN CLEAN STREETS AT ALL TIMES
INSPECTOR DATE
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
FRAMING
INSULATION z I
ELECTRICAL
PLUMBING 1b---
HEATING 1
f-K > /g -V,Q /v
111111.111.1.1.11111COVER NO WORK UNTIL THE ABOVE HAS BEEN SIGNED
FINALS
• BUILDING
' ELECTRICAL
.PLUMBING
HEATING
DO NOT OCCUPY UNTIL ABOVE HAS BEEN SIGNED
NOTICE
This card must be posted near an electrical service cabinet prior to rough-in inspections and
maintained until all inspections have been approved. On buildings and additions where no
service cabinet is available, card shall be placed near main entrance.
FOR ALL INSPECTIONS (952) 447-9850
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